MEDICARE: DR. SHEFALI D CHHEDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	046947	GA

General Provider Information

NPI Number	:	1285624338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEFALI D CHHEDA MD

Provider Business Mailing Address
First Line	:	1800 ABBEY CT
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-6017
Country	:	US
Telephone Number	:	770-475-9924
Fax Number	:	770-475-9438

Provider Business Practice Location Address
First Line	:	1800 ABBEY CT
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-6017
Country	:	US
Telephone Number	:	770-475-9924
Fax Number	:	770-475-9438

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	08/11/2016

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